Provider Demographics
NPI:1548682925
Name:KALE, DIPTI (DPT)
Entity type:Individual
Prefix:DR
First Name:DIPTI
Middle Name:
Last Name:KALE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14845 NW NORTHUMBRIA LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-5435
Mailing Address - Country:US
Mailing Address - Phone:773-592-0673
Mailing Address - Fax:
Practice Address - Street 1:14845 NW NORTHUMBRIA LN
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5435
Practice Address - Country:US
Practice Address - Phone:773-592-0673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist